PDF(Pubmed)
Abstract：
Family physicians are burdened with a great number of guidelines considering different conditions they treat. We analyzed opinions of family physicians on electronic tools which help managing chronic conditions and their influence on patient care by cardiovascular disease (CVD) prevention guideline availability, usage and adherence. A descriptive study was performed on a convenient sample of 417 (response rate 56.0%) Croatian family physicians. Data on physician characteristics and availability, usage and adherence to CVD prevention guidelines were analyzed. The χ2-test was used for comparisons. Significance was defined as p<0.05. Family physicians who used additional electronic tools in Electronic Health Record software on more than 80% of their patients had CVD prevention guidelines more available (p<0.01) and used them more frequently (p<0.01). A group who used electronic tools on more than 80% of their patients had CVD prevention guidelines available to them frequently and used them on more than 60% of their patients, also strictly adhering to the guidelines (p<0.01). Physicians who used CVD prevention guidelines on more than 60% of their patients spent more time doing patient education (p=0.036). Using electronic tools helps Croatian family physicians in terms of availability, usage and adherence to the guidelines and quality improvement.
摘要：
考虑到他们治疗的不同条件，家庭医生负担着大量的指导方针。我们分析了家庭医生对电子工具的意见，这些工具有助于通过心血管疾病（CVD）预防指南的可用性来管理慢性病及其对患者护理的影响，使用和坚持。对417名克罗地亚家庭医生（有效率56.0％）的方便样本进行了描述性研究。关于医生特征和可用性的数据，分析了对CVD预防指南的使用和依从性.采用χ2检验进行比较。显著性定义为p<0.05。在电子健康记录软件中使用额外电子工具的家庭医生超过80％的患者有更多可用的CVD预防指南（p<0.01），并且更频繁地使用它们（p<0.01）。对80%以上的患者使用电子工具的一组患者经常使用CVD预防指南，并对60%以上的患者使用这些指南，也严格遵守指导方针(p<0.01)。对60%以上的患者使用CVD预防指南的医师花费更多的时间进行患者教育(p=0.036)。使用电子工具可以帮助克罗地亚的家庭医生在可用性方面，使用和遵守准则和质量改进。
